person
Krista Thornberry, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Fort Wayne, Indiana
NPI 1710347059

Krista Thornberry is a Psychiatric/Mental Health Nurse Practitioner based in Fort Wayne, IN and is specialized in Psychiatric/Mental Health. Krista Thornberry practices in Fort Wayne, IN and has the professional credentials of PMHNP-BC. The NPI Number for Krista Thornberry is 1710347059 and holds a License No. RN.372896 (Indiana).

The current practice location address for Krista Thornberry is 2200 Randallia Dr, Fort Wayne, IN and can be reached out via phone at 260-344-4035 and via fax at 260-969-9272. You can also correspond with Krista Thornberry through the mailing address at 6435 W JEFFERSON BLVD PMB 109, FORT WAYNE, IN - 46804-6203 (mailing address contact number: 260-344-4035).

Location: 2200 Randallia Dr, Fort Wayne, IN, 46804-6203
person
Provider Profile Details
NPI Number
1710347059
Provider Name
Krista Thornberry
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2200 Randallia Dr, Fort Wayne, IN, 46804-6203
Phone Number
260-344-4035
Fax Number
260-969-9272
Provider Enumeration Date
02/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2200 Randallia Dr
City
State
Zip
46805-4638
Phone Number
260-344-4035
Fax Number
260-969-9272
person
Provider Business Mailing Address Details
Address
6435 W Jefferson Blvd Pmb 109
City
State
Zip
46804-6203
Phone Number
260-344-4035
Fax Number
260-969-9272
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN.372896 (Ohio)
Definition
Definition to come...
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